Bergamatto v. Bd. of Trs. of the Nysa Ila Pension Fund
Opinion
Nicholas Bergamatto appeals from the District Court's grant of summary judgment against him on his claims under the Employee Retirement Income Security Act ("ERISA"),
I. BACKGROUND
The operative facts are not in dispute. Bergamatto began working for the Port of New York and New Jersey as a longshoreman in 2000. He last worked there in April 2010. In April 2013, he applied for retirement benefits under his pension plan.
That plan is the New York Shipping Association-International Longshoremen's Association Pension Trust Fund and Plan, a plan covered by ERISA. The 2010 version of the plan said that "[t]he provisions ... in effect during the Participant's last year of credited service shall be applied to determine the Participant's right to benefits and the amount thereof." (Supp. App. at 5.) The 2010 plan also originally precluded longshoremen hired between October 1996 and September 2004 from accruing benefits for work performed before October 2004. 1 It did so by excluding from the definition of "Participant" "any employee who was not a Participant prior to October 1, 1996" and stating that:
[n]otwithstanding anything to the contrary contained in this Plan, any person who was first hired for employment in the longshore industry on or after October 1, 1996, and who was not a Participant as of September 30, 2004, shall be eligible to participate as a Participant in the Plan effective October 1, 2004, but shall not be entitled to accrue credited service for pension benefit accrual purposes under the Plan for any hours of employment earned prior to October 1, 2004.
(Supp. App. at 10-11.)
In 2013, however, an amendment was made to the 2010 plan. That amendment provided that, "[e]ffective October 1, 2012, Participants hired on or after October 1, 1996 shall receive pension benefit accruals for years of credited service earned from 1996 through 2004[.]" (D. Ct. D.I. 31-3, at *173.) 2
The 2010 plan contained several administrative provisions. Among other things, it said that "[t]he Fund shall be administered by a Board of Trustees" (Supp. App. at 65) and that the Board had to "make available to the Fund's Participants and beneficiaries such reports and other documents as are required by ERISA" (Supp. App. at 68). It further provided that
[t]he Board of Trustees shall have sole and absolute discretionary authority (1) to determine eligibility for benefits, (2) to interpret and construe the terms and provisions of the Trust and Plan, and (3) to make factual findings in connection with applications for benefits and to make other determinations involving application of the provisions of the Trust and Plan.
(Supp. App. at 73.) Finally, it said that the Board "delegates to the Executive Pension Director ... the power and authority to process and approve all non-disputed applications for pension benefits and to commence timely payments of such benefits" but that "[a]ll actions taken and decisions made pursuant to [that delegation] are subject to ratification by the Board of Trustees." 3 (Supp. App. at 73.)
In January 2015, an updated version of the plan was produced. Like the 2010 plan, the 2015 plan contained a "last year of credited service" clause, saying that "[t]he provisions of the Plan in effect during the Participant's last Year of Credited Service shall be applied to determine the Participant's right to benefit and the amount thereof." 4 (App. at 70.) The 2015 plan also expressly incorporated the 2013 amendment to the 2010 plan, providing that, "[e]ffective October 1, 2012, Participants hired on or after October 1, 1996 shall receive pension benefit accruals for Years of Credited Service earned from 1996 through 2004." (App. at 58.) Relatedly, it eliminated the language preventing employees hired between October 1996 and September 2004 from accruing benefits for work prior to October 2004. The 2015 plan also contained the same administrative provisions from the 2010 plan that have just been noted.
In June 2013, Bergamatto's application for pension benefits was approved by Charles Ward, Executive Director of the Fund, but based on only the years of credited service starting in October 2004. Ward reasoned that the 2010 plan required that benefit determinations be made based on the plan provisions in force during the participant's last year of credited service, that Bergamatto's last year of credited service was 2010, and that the 2010 plan terms prevented longshoremen hired between October 1996 and September 2004 - like Bergamatto - from receiving benefit accruals for work performed before October 2004.
Bergamatto responded to Ward's decision by requesting that, in light of the 2013 amendment to the 2010 plan, his pension benefits incorporate his years of service before October 2004. A series of communications between Ward and Bergamatto ensued, which ultimately led to Bergamatto accusing Ward of failing to respond to him as required by ERISA. Specifically, Bergamatto maintained that Ward had not adequately addressed his request for the pre-October 2004 benefit accruals and for the relevant plan provisions or summary plan description.
Bergamatto ultimately filed an appeal with the pension fund's Board of Trustees, which denied the appeal after a hearing. Its decision was based on the following reasoning: the 2015 plan "provides that the provisions of the Plan in effect during the Participant's last year of credited service shall be applied to determine the Participant's right to a benefit and the amount thereof"; Bergamatto's last year of credited service was 2010; the 2010 plan likewise "provides, with various exceptions that apply only to the amount of benefits, that the provisions of the Plan in effect during the Participant's last year of credited service shall be applied to determine the Participant's right to benefits and the amount thereof"; and the 2010 plan further "provides that ... any person who was hired ... on or after October 1, 1996, and who was not a Participant as of September 30, 2004, shall be eligible to participate as a Participant in the Plan effective October 1, 2004, but shall not be entitled to accrue credited service for pension benefit accrual purposes under the Plan for any hour of employment earned prior to October 1, 2004[.]' " (D. Ct. D.I. 31-3, at *206-07.)
The Board's decision was communicated to Bergamatto, and he then filed this action under ERISA, naming the Board of Trustees and Ward as defendants. 5 He claimed first that the denial of his claim for pre-October 2004 benefit accruals was erroneous, as it was based on a misinterpretation of the plan provisions and, second, that Ward's failure to adequately respond during the parties' correspondence amounted to a violation of the statutory responsibility of the plan administrator to respond to a plan participant. 6 The defendants ultimately moved for summary judgment, which the District Court granted.
As to Bergamatto's first claim, the Court concluded that, under the applicable "arbitrary-and-capricious standard" of review, the Board of Trustees' interpretation of the 2015 and 2010 plans was "reasonably consistent" with the plans' unambiguous language, which "makes clear that Bergamatto was not eligible for benefit accruals" for the years that he worked before October 2004. (App. at 15-16 (citation omitted).) Mirroring the Board's reasoning, the Court said that, under the 2015 plan, the terms in place during a participant's last year of credited service are controlling for purposes of benefit determinations; that Bergamatto's last year of credited service was 2010; and that, therefore, the 2010 plan governs Bergamatto's claim. It then concluded that the 2010 plan also requires that the provisions in effect during a participant's last year of credited service control. The Court said that the 2010 provisions preclude workers like Bergamatto from earning benefit accruals for years of service before October 2004, and that the 2013 amendment allowing such accruals was not in effect in 2010. It rejected Bergamatto's assertion that the "last year of credited service" clause does not apply, saying instead that "the Clause does clearly apply to such accruals." (App. at 17.) The Court also disagreed with Bergamatto's contention that
Moench v. Robertson
,
As to Bergamatto's second claim - that Ward breached an obligation to respond to Bergamatto's requests for information - the District Court observed that the claim was misdirected since the plan identifies the Board of Trustees, not Ward, as the administrator. The Court rejected Bergamatto's argument "that Ward is the
de facto
plan administrator[,]" reasoning that "the plain and unambiguous text of ERISA, as well as the weight of existing case law," foreclosed that argument. (App. at 20-21.) It noted that, although "[t]he Third Circuit has not yet ruled on" "whether a party can be held liable under [
The Court also rebuffed two alternative arguments advanced by Bergamatto: that equitable estoppel should apply because "Ward 'never disavowed the title of Plan Administrator and never advised Bergamatto's counsel to redirect his request to the Board' "; and that Ward was a co-administrator because "a Notice [from the plan] advis[ed] participants to contact the Board or Ward if they ha[d] additional questions[.]" (App. at 21 (citation omitted).) As to the first argument, the District Court said that Bergamatto could not satisfy the requirements of equitable estoppel because he had provided no evidence "that he detrimentally relied on Ward's alleged misrepresentations." (App. at 22.) As to the second, it determined that the Notice "is not sufficient to support a finding that Ward was a co-administrator" because it "identifies Ward as Executive Director, not co-administrator, and merely states that he can answer relevant questions." (App. at 22.)
Bergamatto timely appealed.
II. DISCUSSION 7
On appeal, Bergamatto presses two claims: (1) that he is entitled to benefit accruals for the years he worked before October 2004; and (2) that Ward should be viewed as a de facto administrator of the pension plan and thus subject to liability for failing to timely respond to Bergamatto's correspondence. 8 Bergamatto contends that the District Court erred in resolving those claims against him and should have granted summary judgment in his favor under Federal Rule of Civil Procedure 56(f). 9 We disagree and, consequently, will affirm.
A. Bergamtto's Ineligibility for Benefit Accruals for Pre-October 2004 Service
With respect to his first claim, Bergamatto says that the Board of Trustees' decision was arbitrary and capricious in that it erroneously relied on the "last year of credited service" clause of the 2015 plan to deny his request for benefit accruals for pre-October 2004 work. In Bergamatto's view, that clause is inapplicable because it "appears to apply to the entitlement to and calculation of the pension benefit but is silent as to benefit accruals and appears to be a rule of general application." (Opening Br. at 15.) He says that the amendment granting benefit accruals for pre-October 2004 service for workers such as him, as incorporated into the 2015 plan, should govern "because it directly addresses accruals." (Opening Br. at 15.) He maintains that he is covered by the amendment because he was a participant in the plan after the amendment's effective date of October 2012.
Bergamatto's first claim arises under
Under our broadly deferential standard of review, we first consider whether the language of an ERISA plan is ambiguous, i.e., "subject to reasonable alternative interpretations."
Bill Gray Enters., Inc. Emp. Health & Welfare Plan v. Gourley
,
Bergamatto's argument fails at the first step because the plan language at issue here is unambiguous and the Board's decision is "reasonably consistent" with that language. The 2015 plan states expressly that "[t]he provisions of the Plan in effect during the Participant's last Year of Credited Service shall be applied to determine the Participant's right to benefit and the amount thereof." 13 (App. at 70.) The original 2010 plan contains the same "last year of credited service" clause and directly forbids workers hired between October 1996 and September 2004 from earning benefit accruals for pre-October 2004 work. 14 And, the effective date of the 2013 amendment that changed that restriction and authorized such benefit accruals was October 1, 2012, well after Bergamatto's last year of credited service in 2010. The language of the un-amended 2010 plan is thus controlling. Given that Bergamatto was hired in 2000, he is subject to the benefit accrual exclusion for pre-October 2004 work. We cannot see how the 2015 and 2010 plans could be read in any other way. The Board's decision tracks that reading and is thus "reasonably consistent" - in fact, totally consistent - with the unambiguous language of the plans.
Bergamatto's suggestion that the "last year of credited service" clause does not encompass benefit accruals is unpersuasive. That clause, under both the 2015 and 2010 plans, is framed expansively, covering any term used to determine a participant's right to benefits and the amount thereof. The clause, on its face, encompasses anything that could affect the benefits a worker receives, and it is hard to imagine how the accrual of benefits could fall outside its reach. Indeed, under both the 2015 and 2010 plans, "Accrued Benefit" is defined as the monthly pension benefit - i.e., the amount of benefit - that a participant in the plan would be entitled to receive if certain conditions were met. (App. at 48; Supp. App. at 14.) And Bergamatto necessarily concedes that benefit accruals affect the amount of a pension, given that he has consistently sought benefit accruals for additional years in order to increase his pension.
In light of all that, Bergamatto's remaining arguments are unavailing. His assertion that the amendment should govern since it directly addresses benefit accruals fails because, if the "last year of credited service" clause applies to benefit accruals (and it does), the 2010 provisions relating to benefit accruals must control. No one disputes that Bergamatto's last year of credited service was 2010. And, again, because that was his last credited year, the 2010 provisions govern. Bergamatto's argument that he was a participant in 2012 - when the amendment authorizing the benefit accruals Bergamatto seeks became effective - is thus irrelevant.
In sum, the plan language is unambiguous; the Board's interpretation aligns with that language; and Bergamatto's first claim fails. 15
B. The "De Facto" Plan Administrator Theory
As to Bergamatto's second claim, he cites
His claim arises under
Any administrator ... who fails or refuses to comply with a request for any information which such administrator is required by this subchapter to furnish to a participant or beneficiary (unless such failure or refusal results from matters reasonably beyond the control of the administrator) by mailing the material requested to the last known address of the requesting participant or beneficiary within 30 days after such request may in the court's discretion be personally liable to such participant or beneficiary in the amount of up to $100 a day from the date of such failure or refusal , and the court may in its discretion order such other relief as it deems proper.
Ward, however, does not formally qualify as an "administrator" for purposes of
That leads to the question of whether a person, like Ward, who does not fit the statutory definition of "administrator" may be liable under
Mondry v. Am. Family Mut. Ins. Co.
,
(" Law was careful to distinguish the case before it, which involved an employer with 'little, if any, separate identity' from the internal retirement committee that had been designated as the 'plan administrator,' from cases involving 'attempts to recover against entities which were clearly distinct from the plan administrator.' " (citation omitted)).
We are persuaded by the weight of authority, as well as the plain text and character of the statutes at issue,
22
and so reject the de facto administrator theory. As set out above, § 1132(c)(1) imposes liability only on administrators. We have said that "administrator" is a "term[ ] of art under ERISA[,]" defined, with certain exceptions, "as 'the person specifically so designated by the terms of the instrument under which the plan is operated.' "
Groves v. Modified Ret. Plan for Hourly Paid Emps. of Johns Manville Corp. & Subsidiaries
,
First, the Supreme Court has taught, quite forcefully, that courts should avoid reading remedies into ERISA's carefully-crafted enforcement scheme:
The ... carefully integrated civil enforcement provisions found in § 502(a) ... provide strong evidence that Congress did not intend to authorize other remedies that it simply forgot to incorporate expressly. The assumption of inadvertent omission is rendered especially suspect upon close consideration of ERISA's interlocking, interrelated, and interdependent remedial scheme, which is in turn part of a "comprehensive and reticulated statute." ... We are reluctant to tamper with an enforcement scheme crafted with such evident care as the one in ERISA.
Mass. Mut. Life Ins. Co. v. Russell
,
Second, § 1132(c) "is a penal provision" and, as such, "should be leniently and narrowly construed[.]"
Groves
,
Third, we have in fact consistently construed this statutory penalty provision narrowly and there is no reason to depart from that approach.
See
Kollman v. Hewitt Assocs., LLC
,
In short, we must restrict application of the title "administrator" to those who fit the statutory definition and not stretch the term to authorize penalties against others whom a disappointed plan participant might like to reach. That means that Ward is not an administrator, "de facto" or otherwise. 23 At least in this context, then, there is no such thing as a "de facto administrator," and Bergamatto's second claim fails.
III. CONCLUSION
For the foregoing reasons, we will affirm the judgment of the District Court.
At all times relevant to this case, a year of credited service required a set number of hours of credited service and was based on an October 1 to September 30 fiscal year.
"D. Ct. D.I." refers to items listed on the District Court's docket.
Although the record is not entirely clear, it appears that the "Executive Pension Director" is the same individual elsewhere referred to as the Executive Director of the Fund. The delegated power of the Director in handling benefits applications is to be exercised in concert with "his counterpart designated by the [New York Shipping Association.]" (Supp. App. at 73.) That aspect of the plan's administration is not at issue in this case.
The 2010 plan used the word "benefits" (Supp. App. at 5, 34), whereas the 2015 plan used "benefit" (App. at 70). The change does not appear to have been substantive.
The timeliness of Bergamatto's claims is not disputed.
Bergamatto raised other issues, but the District Court concluded "that he is no longer pursuing" them (App. at 12 n.5), and Bergamatto does not press them on appeal.
The District Court had jurisdiction under
Bergamatto does not contend that the Board is liable for being unresponsive. He also does not raise equitable estoppel or assert that the District Court's rejection of his equitable estoppel argument was in error. We therefore consider these arguments forfeited.
See
In re: Asbestos Prods. Liab. Litig. (No. VI)
,
Bergamatto did not move for summary judgment, but Rule 56(f) provides, in relevant part, that, "[a]fter giving notice and a reasonable time to respond, the court may ... grant summary judgment for a nonmovant[.]" Fed. R. Civ. P. 56(f).
"An administrator's decision constitutes an abuse of discretion only if it is 'without reason, unsupported by substantial evidence or erroneous as a matter of law.' "
Howley
,
"An administrator's decision is arbitrary and capricious if it is without reason, unsupported by substantial evidence or erroneous as a matter of law."
Fleisher v. Standard Ins. Co.
,
In assessing whether an administrator's interpretation is "reasonably consistent" with plan language, we are not considering whether the interpretation is one reasonable alternative. By definition, when plan terms are clear, they have only one meaning and are "unsuited to any further interpretation."
Funk v. CIGNA Grp. Ins.
,
The Board of Trustees considered the 2015 plan to be the operative one, and Bergamatto too relies on that plan to support his arguments. We will assume that the 2015 plan is the appropriate one to look to, although we need not conclusively resolve whether the 2015 or 2010 plan governs because, in any event, the 2015 plan looks to the 2010 plan for the decisive language.
Recall that the 2010 plan provides that any longshoreman hired "on or after October 1, 1996, and who was not a Participant as of September 30, 2004 ... shall not be entitled to accrue credited service for pension benefit accrual purposes under the Plan for any hours of employment earned prior to October 1, 2004." (Supp. App. at 10-11.)
Bergamatto's arguments rely on our decision in
Moench
, in which we adopted "factors to consider in determining whether an interpretation of a plan is reasonable[.]"
The
Moench
factors, however, are inapposite here. They apply in evaluating the reasonableness of an administrator's interpretation. But we only move to that inquiry if we decide that the terms of a plan document are ambiguous.
Bill Gray Enters.
,
For instance,
Otherwise, the "administrator" is "the plan sponsor" or, if "an administrator is not designated and a plan sponsor cannot be identified, such other person as the Secretary [of Labor] may by regulation prescribe."
Bergamatto asserts that Ward should be viewed as a co-administrator because a Notice from the plan told "participants and beneficiaries to contact the Board of Trustees or Ward if they have questions or to request additional information." (Opening Br. at 18.) But that Notice does not change who the plans specify as administrator, and the Notice characterizes Ward as "Executive Director," not administrator. (D. Ct. D.I. 11-2, at *20.)
The Fifth Circuit has not clarified whether
Humble
constituted a wholesale rejection of the de facto administrator theory. It has since cited that case for the proposition that "the Fifth Circuit does not recognize a de facto administrator doctrine
in the context of an insurance company involved in claims handling
."
N. Cypress Med. Ctr. Operating Co. v. Aetna Life Ins. Co.
,
The D.C. Circuit has not cited
Davis
or addressed the de facto administrator issue since, so the scope of that decision is not wholly clear.
Cf.
Law v. Ernst & Young
,
Two other Courts of Appeals have suggested that they might adopt the de facto administrator theory in the appropriate case. The Sixth Circuit has remanded where "the record did not sufficiently explain the relationship between the employer and the plan administrator for it to determine liability."
Gore v. El Paso Energy Corp. Long Term Disability Plan
,
See
That conclusion is not altered by the fact that the 2015 and 2010 plans delegate to the Executive Pension Director the Board's "power and authority to process and approve all non-disputed applications for pension benefits and to commence timely payments of such benefits[,]" subject to ratification by the Board. (Supp. App. at 73; D. Ct. D.I. 31-3, at *276.) That language does not show that the Executive Pension Director is the statutory administrator, even for disclosure purposes. Indeed, the plans require
the Board
to "make available to the Fund's Participants and beneficiaries such reports and other documents as are required by ERISA." (Supp. App. at 68; D. Ct. D.I. 31-3, at *272.) Moreover, a non-administrator does not become an administrator simply by virtue of possessing responsibilities under a plan.
See
Ross v. Rail Car Am. Grp. Disability Income Plan
,
Reference
- Full Case Name
- Nicholas BERGAMATTO, Appellant v. BOARD OF TRUSTEES OF THE NYSA- ILA PENSION FUND; Charles Ward
- Cited By
- 15 cases
- Status
- Published